MAPP PHASE 4: IDENTIFY STRATEGIC

ISSUES

June & July 2015

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MAPP PHASE 4: IDENTIFY STRATEGIC ISSUES

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Table of Contents

Executive Summary………………………………………………………………..3

MAPP Phase 4: Identify Strategic Issues Participants

Part 1…………………………………………………………………………...4

Part 2…………………………………………………………………………...5

The Process……………………………………………………………………….....6

The Results…………………………………………………………………………..7

Meeting Evaluation………………………………………………………………....7

Appendices

Identifying Strategic Issues Part 1 Homework

Identify Strategic Issues Part 1 Agenda

Identifying Strategic Issues Part 1 Worksheet

Identify Strategic Issues Part 1 Evaluation

MAPP: Phase 4 Identify Strategic Issues – Strategic Issues Identified from Phase

3 Assessments

Identify Strategic Issues Part 2 Agenda

Livingston County MAPP Phase 4 Part 2 – Identify Strategic Issues Affinity

Diagram

Livingston County MAPP Phase 4 Part 2 – Identify Strategic Issues

Prioritization Voting Scores

Identify Strategic Issues Part 2 Evaluation

MAPP PHASE 4: IDENTIFY STRATEGIC ISSUES

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Executive

Summary

The fourth phase of the MAPP process consisted of the identification of strategic issues.

Strategic issues represent the critical challenges that must be addressed, as well as opportunities

to be capitalized on, in order for a community to achieve its vision. Using the data gathered from

the four assessments conducted during Phase 3 of the MAPP process, MAPP participants identified

the following ten strategic issues and prioritized them in impact order (highest to lowest) during

the June and July 2015 MAPP meetings.

1. Substance Abuse

2. Health Education/Promotion

3. Mental Health

4. Healthcare Integration

5. Communication

6. Dental Health

7. Chronic Disease

8. Transportation

9. Affordable Housing

10. Sexually Transmitted Diseases

These prioritized strategic issues will provide the foundation for the development of the

MAPP Team’s goals and strategies to be developed during Phase 5 of the MAPP process.

MAPP PHASE 4: IDENTIFY STRATEGIC ISSUES

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MAPP IDENTIFY STRATEGIC ISSUES

Part 1 Participants

Human Services Collaborative Body

Anne Rennie

LACASA/CASA/WHMI

Marcia Jablonski

Livingston County Board of

Commissioners

Gary Childs

Livingston County Catholic Charities

Kaitlin Fink

Mark T. Robinson

Livingston County Circuit Court

John Evans

Livingston County Community Mental

Health

Connie Conklin

Livingston County Department of

Public Health

Amy Pendell

Dianne McCormick

Elaine Brown

Lisa Sanchez

Livingston County Human Resources

Jennifer Slater

Livingston County Sheriff’s Office

Mike Murphy

Livingston County United Way

Nancy Rosso

Livingston Educational Service Agency

Mary Beno

Livingston Essential Transportation

Service

Doug Britz

Livingston Prisoner Reentry

Katie Bronson-Kim

Marion Township, Township Supervisor

Bob Hanvey

Michigan Department of Health and

Human Services

Renee Adorjan

Oceola Township, Township Trustee

Lance Schumacher

Pharmacist

Robert Herbst

Recycle Livingston

Mary Hunt

Resident

Cheryl Schott

Leslie Aaron

St. John Providence

Lou Bischoff

Trinity Health – St. Joseph Mercy

Hospital

Chris Stokes

Vina Dental

Dr. Christine Love

Work Skills

Stephanie May

MAPP PHASE 4: IDENTIFY STRATEGIC ISSUES

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MAPP IDENTIFY STRATEGIC ISSUES

Part 2 Participants

Area Agency on Aging 1-B

Melodie Valvano

Great Start Livingston

Robin Schutz

LACASA/CASA/WHMI

Marcia Jablonski

Livingston County Board of

Commissioners

Gary Childs

Livingston County Catholic Charities

Kaitlin Fink

Livingston County Circuit Court

John Evans

Livingston County Department of Public

Health

Amy Pendell

Dianne McCormick

Don Lawrenchuk

Elaine Brown

Lisa Sanchez

Matt Bolang

Livingston County Sheriff’s Office

Mike Murphy

Livingston County United Way

Nancy Rosso

Livingston Essential Transportation

Service

Doug Britz

Livingston Prisoner Reentry

Katie Bronson-Kim

Marion Township, Township Supervisor

Bob Hanvey

Michigan Department of Health and

Human Services

Renee Adorjan

Oceola Township, Township Trustee

Lance Schuhmacher

Pharmacist

Robert Herbst

Putnam Township, Township Supervisor

Ron Rau

Recycle Livingston

Mary Hunt

Resident

Cheryl Schott

Emily Hamilton

Leslie Aaron

Trinity Health – St. Joseph Mercy

Hospital

Chris Stokes

Work Skills

Marcia Ransom

MAPP PHASE 4: IDENTIFY STRATEGIC ISSUES

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The Process

Phase 4 of the MAPP process began with the dissemination of the data reports from the

four MAPP assessments conducted during Phase 3 (Community Health Status Assessment,

Community Themes and Strengths Assessment, Forces of Change Assessment, and Local Public

Health System Assessment). Upon participants’ RSVP for the June 11th, 2015 meeting, each MAPP

Team member was assigned to one of the four Phase 3 assessments and was provided with an

“Identify Strategic Issues Worksheet” (Appendix). The worksheet was designed to facilitate

brainstorming of strategic issues present in their assigned MAPP assessment prior to the meeting.

On June 11th, 2015 the MAPP Team conducted the first part of the process to identify

strategic issues. Participants received a brief overview of the MAPP process, as well as an in-depth

description of the goals for Phase 4 and what constitutes a strategic issue. After the presentation,

participants convened with their pre-assigned MAPP Phase 3 report groups to identify the strategic

issues that stood out in their assigned reports using the “Livingston County MAPP Team:

Identifying Strategic Issues (Part 1)” handout (Appendix). At the conclusion of the meeting each of

the four groups shared with the MAPP Team the identified strategic issues from their Phase 3

report and turned in their completed “Livingston County MAPP Team: Identifying Strategic Issues

(Part 1)” handout. The strategic issues from each of the four Phase 3 reports were compiled into a

final list to be used when determining the primary strategic issues for Livingston County during the

second part of Phase 4: Identify Strategic Issues. At the conclusion of the meeting participants

completed a meeting evaluation (Appendix) and were provided with a session summary and the

next steps.

The second part of Phase 4 was conducted on July 16th, 2015. During this meeting the

identified strategic issues for each of the Phase 3 reports from Part 1 were consolidated into 10

main strategic issues. These issues were determined to be essential in order to achieve the MAPP

Team’s vision. Prior to the meeting, MAPP Team participants were provided with the strategic

issues for each Phase 3 report, which were developed at the previous MAPP meeting. The meeting

began with a summary of the MAPP process, an overview of the Phase 4 goals, and the definition

of a strategic issue. The MAPP Team as a whole then completed an affinity diagram by grouping

the identified Phase 3 report strategic issues by commonalities to determine the main strategic

issues for Livingston County to address in the next five years. The strategic issues identified from

the Phase 3 reports were recorded on colored sticky notes corresponding to the report from

which they came from prior to the meeting. This helped participants to visualize which affinity

diagram themes included ideas from each of the four Phase 3 reports when determining the final

list of strategic issues. The final affinity diagram can be found in the appendix.

Following the completion of the affinity diagram and the determination of the final primary

MAPP PHASE 4: IDENTIFY STRATEGIC ISSUES

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strategic issues, participants were asked to participate in a prioritization activity in which they

were given four voting stickers and instructed to use the stickers to prioritize the strategic issues

based on impact order. Each participant was allowed to vote for the same strategic issue up to

four times (Appendix). The session concluded with ensuring group consensus on the strategic

prioritization order. Participants were asked to complete a meeting evaluation (Appendix). A

session summary, as well as the next steps in the MAPP process were announced.

The Results

Strategic issues identified from the Phase 3 assessments during Part 1 of Phase 4

(Appendix) were consolidated into 10 primary strategic issues for Livingston County during Phase

4: Part 2. These identified issues were then prioritized in impact order as follows:

1. Substance Abuse

2. Health Education/Promotion

3. Mental Health

4. Healthcare Integration

5. Communication

6. Dental Health

7. Chronic Disease

8. Transportation

9. Affordable Housing

10. Sexually Transmitted Diseases

The finalized affinity diagram, as well as the prioritization scores can be found in the appendix.

Meeting

Evaluation

EVALUATION

MAPP Team members completed a participant evaluation (Appendix) at the conclusion of

each Identifying Strategic Issues work session. Evaluation results were shared with the MAPP Team

facilitators for planning purposes.

APPENDICES

Your input is invaluable to this analysis and we look forward to your participation!

Livingston County MAPP Team: Identifying Strategic Issues (Part 1) Homework

In preparation for the Identifying Strategic Issues (Part 1) meeting this worksheet is

designed to help you begin thinking about strategic issues present in your assigned MAPP Assessment (if you haven’t been assigned an assessment to review prior to the meeting,

please RSVP to receive your assignment).

Strategic issues:

Must be addressed in order for a community to achieve its vision.

Represent a fundamental choice to be made by the community and local public health system leaders.

Usually center around a tension or conflict to be resolved.

Might be addressed in many different ways.

MUST be something that the local public health system can address.

Should relate to more than one of the four MAPP Assessments.

Note: critical issues are important, but strategic issues are important and forward-thinking and seize on current opportunities.

Our Vision A safe, healthy, educated, and supportive community in which all individuals can attain optimal physical, cultural, social, mental, and spiritual health. Our Values

Collaboration

Commitment/Accountability

Communication & Education of Health/Wellness

Compassion

Inclusion

Respect

Responsive

Consider these questions as you analyze your assigned MAPP Assessment:

Identify the strategic issues. For each issue, use the back of this sheet to ask yourself:

Why is this an issue?

o What convergence of external opportunities and threats, system strengths and

weaknesses, health status findings or community themes makes this an issue?

o How big of a public health issue is the item?

o Can the local public health system impact the issue?

o Is it reasonable, feasible, and financially cost effective to address?

What are the consequences of not addressing this issue?

Livingston County MAPP Team Meeting

Phase 4: Identify Strategic Issues (Part 1)

Thursday, June 11, 2015

Livingston County EMS Public Safety Complex

1:00pm – 3:00pm

I. Welcome & Sign-in (1:00pm)

II. Identifying Strategic Issues Presentation (1:00 – 1:20pm)

III. Small Groups - Strategic Issue Identification Activity (1:20 – 2:35pm)

IV. Small Group Reports (2:35 – 2:55pm)

V. Session Summary & Next Steps (2:55 – 3:00pm)

VI. Adjourn (3:00pm)

Next Meeting:

Phase 4: Identify Strategic Issues (Part 2) Thursday, July 16, 2015

1:00-3:00PM Livingston County EMS Public Safety Complex, Hartland Auditorium

MAPP Meeting Evaluation Form

Phase 4: Identify Strategic Issues (Part 1)

Thursday, June 11, 2015 at 1:00pm

Please take a minute at the end of the meeting to complete this evaluation. The feedback will help us improve the quality and effectiveness of our future meetings.

Indicate how much you agree with the following statements by circling your response using the scale

provided: 1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree

Stro

ngl

y D

isag

ree

Dis

agre

e

Ne

utr

al

Agr

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Stro

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gre

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The meeting purpose and objectives were clearly stated. 1 2 3 4 5

All meeting participants were actively involved. 1 2 3 4 5

I am satisfied with the opportunities for participation and sharing. 1 2 3 4 5

I am satisfied with the way decisions were made. 1 2 3 4 5

The meeting structure allowed for full participation. 1 2 3 4 5

Meeting materials provided were informative and useful. 1 2 3 4 5

The discussion was focused. 1 2 3 4 5

Issues covered were important. 1 2 3 4 5

We used our meeting time effectively. 1 2 3 4 5

The time given to all agenda items was adequate. 1 2 3 4 5

I am satisfied with this meeting. 1 2 3 4 5

I enjoyed this meeting. 1 2 3 4 5

What aspects of this meeting were particularly good?

What aspects of this meeting could have gone better?

After having gone through this, what expectations do you have for the next meeting?

Do you have any additional suggestions or comments about this meeting?

Livingston County

MAPP Team Meeting

Phase 4: Identify Strategic Issues (Part 2)

Thursday, July 16, 2015

Livingston County EMS Public Safety Complex

1:00pm – 3:00pm

VII. Welcome & Sign-in (1:00pm)

VIII. Identifying Strategic Issues Presentation (1:00 – 1:20pm)

IX. Identify Strategic Issues Affinity Diagram Activity (1:20 – 2:20pm)

X. Strategic Issues Prioritization (2:20 – 2:55pm)

XI. Session Summary & Next Steps (2:55 – 3:00pm)

XII. Adjourn (3:00pm)

Next Meeting:

Phase 5: Formulate Goals & Strategies (Part 1) Thursday, August 13, 2015

1:00-3:00PM Livingston County EMS Public Safety Complex, Hartland Auditorium

Livingston County MAPP Phase 4 (Part 2):

Identify Strategic Issues Affinity Diagram

Finalized Strategic Issues

Affordable

Housing

Chronic

Disease

(Obesity)

Sexually

Transmitted

Diseases

Dental Health Substance

Abuse Transportation

Healthcare

Integration

Health

Education/

Promotion

Mental Health Communication

Affinity Diagram – Phase 3 Reports Strategic Issues

Affordable

Housing Chronic Disease

Reduce Sexually

Transmitted

Diseases

Dental Health Substance

Abuse Transportation

Healthcare

Integration

(mental, physical,

etc.)

Health

Education/

Promotion

Access to

Mental Health

Communication

and Information

Sharing Among

Community

Partners and

Public

Obesity

Sexually

Transmitted

Diseases

Prescription

Abuse

Transportation

Resources

Identification/

Surveillance (of

health trends)

Early Childhood

Intervention

Eligibility for

Mental Health

Availability of

Broadband

Obesity Substance

Abuse Transportation

Collaboration

with Healthcare

Systems/Physician

Organizations

Health

Education Mental Health

Seamless

Resource

Accessibility

Alcohol Abuse

(binge

drinking/heavy

drinking)

Preventive

Services

Public

Awareness/

Culture

Assure Linkage to

Health Services

Stigma of

Addiction

Enhanced Data

Infrastructure

Embrace

Diversity and

Sensitivity

Using Local

Universities

Substance

Abuse (not Rx,

not alcohol)

Improve Data

Through Exchange

Smoking

Research/

Innovation Through

Collaboration

with Universities/

Research

Institutions

Eliminated Phase 3 Strategic Issues

The following Phase 3 Strategic Issues were eliminated from the final affinity diagram or selected primary strategic issues.

Phase 3 Strategic Issues Rational for not being included in the final affinity diagram or selected as a primary

strategic issues

Workforce Assessment Were selected as a final strategic issue via the affinity diagram but received no votes during the strategic issue prioritization

process and the MAPP team decided to not include it as a final strategic issue. Workforce Development

(Availability of) Physical Activity Opportunities for

Lower Income Individuals

Determined that if availability of recreational activities were to be considered as a strategic issue it should be increased for all

populations – removed from affinity diagram

Increasing Recreational Opportunities Determined not to be an issue – removed from affinity diagram.

Inconsistent Support for Foster Kids and Families Determined to be a population, not an issue – removed from affinity diagram.

Low Income Needs Determined to be a population, not an issue – removed from affinity diagram.

Senior Needs Determined to be a population, not an issue – removed from affinity diagram.

Unfunded Mandates Determined to be outside the scope of the MAPP Team’s ability to influence – removed from affinity diagram.

Community Partnerships Determined to not be an issue for Livingston County.

Low Tax Rates (as a barrier) Determined to be outside the scope of the MAPP Team’s ability to influence – removed from affinity diagram.

Phase 3 Strategic Issues – Color Coding Key

The following colors represent which Phase 3 report the identified strategic issue was derived from

Community Health Status Assessment

Community Themes and Strengths Assessment

Forces of Change Assessment

Local Public Health System Assessment

Livingston County MAPP Phase 4 (Part 2):

Identify Strategic Issues Prioritization Voting Scores

Identified Strategic Issue Prioritization Score Substance Abuse 25

Health Education/Promotion 21

Mental Health 20

Healthcare Integration 19

Communication 12

Dental Health 9

Chronic Disease 5

Transportation 3

Affordable Housing 2

Sexually Transmitted Diseases* 0

Workforce Development** 0

* After the completion of the Strategic Issues Prioritization Activity, Sexually Transmitted

Diseases received no votes but the MAPP Team determined that the strategic issue was

relevant and important enough to the community to still include it as a primary strategic

issue to be addressed.

** After the completion of the Strategic Issues Prioritization Activity, Workforce Development

received no votes and the MAPP Team determined to not include it as a primary strategic

issue.

MAPP Meeting Evaluation Form

Phase 4: Identify Strategic Issues (Part 2)

Thursday, July 16th, 2015 at 1:00pm

Please take a minute at the end of the meeting to complete this evaluation. The feedback will help us improve the quality and effectiveness of our future meetings.

Indicate how much you agree with the following statements by circling your response using the scale

provided: 1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree

Stro

ngl

y D

isag

ree

Dis

agre

e

Ne

utr

al

Agr

ee

Stro

ngl

y A

gre

e

The meeting purpose and objectives were clearly stated. 1 2 3 4 5

All meeting participants were actively involved. 1 2 3 4 5

I am satisfied with the opportunities for participation and sharing. 1 2 3 4 5

I am satisfied with the way decisions were made. 1 2 3 4 5

The meeting structure allowed for full participation. 1 2 3 4 5

Meeting materials provided were informative and useful. 1 2 3 4 5

The discussion was focused. 1 2 3 4 5

Issues covered were important. 1 2 3 4 5

We used our meeting time effectively. 1 2 3 4 5

The time given to all agenda items was adequate. 1 2 3 4 5

I am satisfied with this meeting. 1 2 3 4 5

I enjoyed this meeting. 1 2 3 4 5

What aspects of this meeting were particularly good?

What aspects of this meeting could have gone better?

After having gone through this, what expectations do you have for the next meeting?

Do you have any additional suggestions or comments about this meeting?